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Form No 67 Ladder Inspection Checklist

The document provides a checklist for visually inspecting ladders. It contains sections for recording the ladder ID, location, type, material, date and inspector. The checklist contains 7 items to check for defects like cracks, breaks, missing parts, damage or warping. If any item is answered yes, the ladder must be tagged and taken out of service immediately. There is also a section for users to regularly inspect and log the condition of the ladder over time.

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hamed albelushi
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275 views1 page

Form No 67 Ladder Inspection Checklist

The document provides a checklist for visually inspecting ladders. It contains sections for recording the ladder ID, location, type, material, date and inspector. The checklist contains 7 items to check for defects like cracks, breaks, missing parts, damage or warping. If any item is answered yes, the ladder must be tagged and taken out of service immediately. There is also a section for users to regularly inspect and log the condition of the ladder over time.

Uploaded by

hamed albelushi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Forms

Ladder Inspection
Doc ID: AMTOFSAT/ALL/ALL/HSE/FORM/067

Issue. No. : 1 I. Date: 29/04/2018 Rev. No. : 0 R. Date: 29/04/2018 Page 1 of 1

LADDER VISUAL INSPECTION CHECKLIST


Section: A
Ladder No / ID: Location:
Type of Ladder: Material: Wood __ Metal __Fiberglass__
Month & Year: Inspected By:

Section: B
Item # Description Yes No
1 Are any parts broken, cracked or splintered?
2 Are there any defects in the side rails, rungs or other parts?
3 Are there any missing or broken rungs? ( loose or Moveable by hand )
4 Are there any missing or broken wheels & locks?
5 Is there any damage or missing feet?
6 Is the ladder twisted, warped or bowed?
7 Does the ladder have a CSA classification label that is not legible?
IF THE ANSWER TO ANY OF THE ABOVE IS ‘YES’, THE LADDER SHOULD BE TAGGED AND IMMEDIATELY TAKEN
OUT OF SERVICE.
Section A & B to be completed by the Inspector.

The user must carry a visual inspection of the ladder regularly and fill the below table (Section: C).
Date Condition (/) Sign Date Condition (/) Sign

User Name:

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